The successful treatment of carcinoma by any method available at the present time seems to depend more on early diagnosis than on any other single factor; carcinoma of the stomach is no exception to this general rule. Through the efforts of the Society for the Control of Cancer and the medical profession in general, the public is being educated to the necessity of early diagnosis and treatment. Patients are appearing at clinics with a much earlier stage of the disease than formerly, and the responsibility for correct diagnosis is becoming increasingly greater as well as more difficult.
Among the problems that arise, perhaps one of the most difficult is the determination of the benign or malignant character of chronic gastric ulcerations. While it is true that the diagnosis is comparatively easy either by the roentgen rays or by examination on the operating table in well developed cases, it is also
HOLMES GW, HAMPTON AO. THE INCIDENCE OF CARCINOMA IN CERTAIN CHRONIC ULCERATING LESIONS OF THE STOMACH. JAMA. 1932;99(11):905–909. doi:10.1001/jama.1932.02740630031008